Acute Inpatient Registered Nurse- RN - Dialysis

Fresenius Medical Care•Cape May Court House, NJ

15d•$33 - $55

About The Position

The Inpatient Registered Nurse provides direct patient care in accordance with company policies and procedures, FMCNA compliance programs, and contracted hospitals’ policies and procedures. Practice areas include hemodialysis, peritoneal dialysis, continuous renal replacement therapies, apheresis, and ultrafiltration. The nurse partners with hospital teams to provide quality care and a positive patient experience. This full-time position requires participation in an on-call rotation that includes day, night, weekend, and holiday shifts. The nurse may be credentialed at one or more listed facilities in Atlantic City, Pomona, Cape May Court House, or Galloway, New Jersey, and must travel between assigned hospitals and facilities, as well as to regional meetings or educational events. The position also involves potential exposure to infectious materials and contagious diseases and regular direct patient-care work that may include moving patients or equipment weighing over 200 pounds with assistance and lifting chemical or water solutions weighing up to 30 pounds as high as five feet. The role provides supervision and direction to Patient Care Technicians and clerical staff, and education and direction to ICU staff regarding CRRT. The RN must hold current appropriate state licensure and meet practice requirements in the state of employment. One year of RN experience and required nursing skills are required. At least six months of nephrology experience is required before independently providing dialysis and ultrafiltration services without another Dialysis RN, and at least six months is required before independently providing apheresis services without another Apheresis RN. The posted hourly rate is $33–$55, depending on work location and qualifications.

Requirements

Current appropriate state licensure and compliance with practice requirements in the state of employment.
One year of RN experience and required nursing skills.
At least six months of nephrology experience before independently providing dialysis and ultrafiltration services without another Dialysis RN.
At least six months of nephrology experience before independently providing apheresis services without another Apheresis RN.
Strong assessment skills related to critically ill patients.
Successful completion of a training course in the theory and practice of care of the ESRD patient (Progressive Renal Education Preparation).
BLS CPR recognition.
Successful completion of Nurses Technical Training.
Organizational and time-management skills, and competency in completing continuing and ongoing renal/nephrology education.
Leadership skills and ability to direct and supervise others, including PCTs, CCHTs, and clerical staff.
Ability to participate in an on-call rotation that includes day, night, weekend, and holiday shifts.
Ability to travel between assigned hospitals and facilities and to regional meetings or educational events.
Ability to perform direct patient care involving movement of patients or equipment weighing over 200 pounds with assistance, and lifting chemical or water solutions weighing up to 30 pounds as high as five feet.
Completion of the Ishihara Color Blindness test as a condition of employment; failing the test does not preclude employment, and reasonable accommodations may be considered.

Nice To Haves

Certification in Nephrology Nursing, Apheresis Nursing, or both is highly encouraged.
ICU experience.
ACLS CPR recognition.

Responsibilities

Provide direct inpatient care across hemodialysis, peritoneal dialysis, ultrafiltration, continuous renal replacement therapy, and apheresis modalities.
Provide prescribed treatment techniques in accordance with modality procedures.
Assess patients’ responses to therapy and make appropriate adjustments to treatment plans as indicated by the appropriately credentialed physician.
Communicate patient problems and concerns to the Inpatient Program Manager, credentialed physician, hospital primary nurse, and other relevant staff.
Deliver safe, effective, timely, and efficient care, and provide organized shift reports.
Adjust patient schedules as needed to address more critical patient needs based on laboratory results, physician orders, or patient assessments.
Implement, administer, monitor, and document patient responses to prescribed intradialytic transfusions, and notify the physician and blood supplier of adverse reactions as appropriate.
Collaborate with physicians and other healthcare team members to interpret, adjust, and coordinate daily patient care plans.
Communicate and initiate coordination with FMS facility nursing staff and appropriate hospital personnel as needed.
Document treatment information accurately in the patient record (ACES) and hospital record as needed.
Prepare for dialysis treatments and complete and document required pre-treatment machine alarm testing.
Clean and disinfect dialysis machines, chairs, equipment, and surrounding areas between treatments according to policy.
Operate related equipment safely and appropriately, troubleshoot minor issues, and use supplies efficiently.
Conduct and document dialysis and apheresis machine safety and alarm tests, equipment calibration, dialysate testing, functional testing, and internal and external disinfection of water and dialysis machines; follow documentation and notification standards.
Initiate the Solution Delivery System when applicable.
Complete and document ongoing participation in QAI activities.
Participate in scheduled staff meetings, training, and orientation as assigned.
Serve as a subject matter expert to hospital staff regarding dialysis-related patient and equipment complications.
Report new or unusual incidents, information, complaints, or problems to the inpatient manager and other parties in accordance with Adverse Event Report requirements.
Provide in-center patient care as needed.
Supervise and direct Patient Care Technicians (CCHTs) and clerical staff, and provide direction and education to ICU staff for CRRT.
Review and comply with the Code of Business Conduct, company policies and procedures, and applicable local, state, and federal laws and regulations.
Assist with projects assigned by the direct supervisor and perform other duties as assigned.